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Compliance

Compliance

Cyber Compliance

R3ST Cyber Compliance Solutions provides assistance and guidance to bring your organization into compliance with state and federal regulations such as HIPAA and HITECH, as well as meet other requirement enforced by government agencies; HHS and CMS (MIPS, MACRA, MU … etc.)

Policies and Procedures

R3ST Cyber Compliance Solutions will review and update (as needed) all policies and procedures for the administrative, technical and physical safeguard to verify that they satisfactory meet all state and federal requirements for each industry (e.g. HIPAA requirement per 45 C.F.R. § 164.308, 164.310, 164.312, 164.314 and 164.316 for healthcare providers)

Training and Awareness

R3ST Cyber Compliance Solutions provides training and awareness program that prepares staff to file roles within the organization; R3ST provide industry-specific education that covers any state or federal requirements based on industry standards.

State and Federal Regulations

“The Department of Health and Human Services (HHS) issued a Quality Payment Program (QPP) final rule on October 14, 2016, as part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MACRA ended the Sustainable Growth Rate (SGR) formula for Medicare payments. QPP focuses on payment for quality versus volume and includes two payment paths in 2017: 1) The Merit-based Incentive Payment System (MIPS) and 2) Advanced Alternative Payment Models (APMs) where payment adjustments take effect in 2019 (CMS, 2017). APM track is mainly for Accountable Care Organization members and the majority of the clinicians will qualify for MIPS. MIPS program consolidates PQRS, Meaningful Use, and Value-based programs into one payment program.

Clinicians such as physicians, NPs, PAs, and CRNA, CNS that bill over $30k and sees over 100 Medicare Part B patients from Sep 1, 2015 to Aug 31, 2016, or Sep 1, 2016 to Aug 31, 2017, will be required to participate in MIPS starting this year. The reporting period is “pick your pace” with the following options: send test data, 90-day, and full year data. MIPS participation will allow these clinicians to gain a potential Medicare positive payment adjustment of up to +4% to +9% plus additional bonus incentives for the span of four years and avoid the -4% to -9% negative payment adjustment.

MIPS eligible clinicians that are existing Medicaid providers (physicians and NPs) who have previously attested with meaningful use and with Medicaid patient volume =>30% can perform dual attestation in 2017. They can continue to attest with Medicaid and receive remaining incentives as well as start with the required MIPS participation this year to avoid the penalties in 2019.”